MEDICARE: NATHANIEL E.B. ARCEGA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	MD00017317	WA

General Provider Information

NPI Number	:	1467536177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL E.B. ARCEGA MD

Provider Business Mailing Address
First Line	:	PO BOX 3582
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-3582
Country	:	US
Telephone Number	:	206-784-0641
Fax Number	:

Provider Business Practice Location Address
First Line	:	5414 BARNES AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3839
Country	:	US
Telephone Number	:	206-784-0641
Fax Number	:	206-784-4386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	09/19/2008

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